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Home My WebLink AboutPermit (8) CITY OF TIGARD PLUMBING PERMIT Til 's. . COMMUNITY DEVELOPMENT Permit#: PLM2022-00378 Date Issued: 9/19/2022 T!GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S1 260000300 Jurisdiction: Tigard Site address: 9681 SW WASHINGTON SQUARE RD C06 Project: Levi's TI Subdivision: None Lot: None Project Description: 15'of water line to new water dispenser. Contractor: PMSI LLC Owner: PPR WASHINGTON SQUARE LLC 8295 NW EVERGREEN PKWY#204 BY MACERICH RET HILLSBORO, OR 97124 PO BOX 4085 SANTA MONICA, CA 90411 PHONE: 503-466-2222 PHONE: FAX: 503-466-2211 FEES Quantity Description Date Amount 15 If Water Service 09/19/2022 $62.54 Specifics: 1 12%State Surcharge- 09/19/2022 $8.70 Plumbing Type of Use: COM 10 ea Minimum Fee Adjustment- 09/19/2022 $9.96 Class of Work: ALT Plumbing Type of Const: Occupancy Grp: Stories: Total $81.20 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules Issued By: akk) Permittee Signature: ‘1‘,01,444 `fie: cIV Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Plumbing Permit Application Building Fixtures FOR OFFICE USE ONLl Cityof Tigard Received g Date•By: Pcmtit No.: 1 r�G 111 a a 13125 SW Hall Blvd.,Tigard,OR 97223 ` �7 Plan Review Phone: 503.718?439 Fax: 503.598.1960 Date,By: Other Permit Na.: Inspection Line: 503.639.4175 Date Ready/By: )uric: 9! See Page 2 for TR;ALI> y q Internet: www_tigard-or.gov Notified/Method: Supplementallnformadon TYPE OF WORK FEE* SCHEDULE ❑New construction 0 Demolition For special information use checklist. Description I Qty. I Ea. ( Total Addition/alterationireplacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATLGORY OF CONSTIWCTION SFR(1)bath 312.70 ❑ 1-and 2-family dwelling .. Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building 0 Multi-family Each additional bath//kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 .1OB SITE INFORMATION AND LOCATION Site utilities: Job site address: Catch basin or area drain 18.76 g(G8t Lira i1 rz�n i�,r City/State/ZIP: Pp c�,is/,d O R Ok-i 2�Z Drywell,leach line,liornear trench drain 18.76 1 Footing drain(no.linear tt.:_) Page 2 Suite/bldg./apt.no.: I Project name: ,t 5 "kXA'' .1c)Cr n Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear fl.:_) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.:_a)r Page 2 Subdivision: I Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 }7lt,v>1h ,Ij5ystCrt1 Gr 1, %�.)Ur- COC.AC_(-- Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 f] PROPERTY OWNER -45r TENANT Expansion tank 12.51 Name: �-c v i t s Fixture/sewer cap 25.02 �' Floor drain/floor sink/hub 25.02 Address: t��10�1 _ D) �1t 'n S1 R Garbage disposal 25.02 City/State/ZIP:''C-..\--\-A fa 1 Q . (-71'2 7.Z I lose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 .APPLICANT 0 CONTACT PERSON i Interceptor/grease trap 25.02 Business name: 1\;,�� t!1.--L� hied.cal gas{value:$ ) Page 2 i Primer 12.51 Contact name: Y V IC" " \e Roof drain(commercial) 12.51 Address: &2C1 S iots; z.,/e rcCCrI • y i Si ..( U'7 Sink/basin/lavatory 25.02 City/State/ZIP: \\•s bo( Q O'7 (a`-i Solar units(potable water) 62.54 Phone:(50 3) -''(9G2- 2 22 _ Fax::( ) Tub shower/shower pan 12.51 E-mail: r ( e C Urinal 25.02 Y --•� _171'`-, �j C,/Y i S co f> l Water closet 25.02 CONTRACTOR -- Water heater 37.52 Business name: PM` SJ_) L._Z__C ^� Water piping/DWV Address: 74 c DE, ENei� ' ern Pk..W1 1 Sic 7.04 Other: - t, r"j, 'L, City/State/ZIP: U:\\s\or t-t.� ),� CA-7 1214 Subtotal Z., ,C)2, Phone:(565) (.1(0(0- ZZ . Fax:( ) Minimum permit fee: $72.50 i 7 Plan review (25%of permit fee) CCB Lie.: )5c Plumbing Lic.no.: 31.1_(i (.1 pb State surcharge(12%of permit fee) .1 Authorized signature: n TOTAL PERMIT FEE R), 1 e� This permit application expires if a permit is not obtained within l80 days Print name: ram+rl C� `y`e�,e s Date:NH Q y�1"i �� after it has been accepted as complete. 111 Fee nie hodology set by TO-County Building Industry Service Board. I:'Building\3ermitsPLMU-PermilApador 10111AN) 440-4616ftttt/02C055'WE13t Plumbing Permit Application - City of Tigard Page 2- Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qt). Fee(ea) Total Square Footage: Permit Fee: -Footing drain-I" 100' 50.03 0 to 2.000 $121.90 Footingdrain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service- 1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 Storm&Rain Drain-1st 100' 62.54Valuation: Permit Fee: $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5.001.00 to S10.000.00 $72.50 for the first$5.000.00 and$1.52 for Other Ins ectious yr Fees Fee Ial) Total each additional$100.00 or fraction thereof,to p and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge-1,2 hour) and including$25,000.00. inspections outside of'nurmal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $74200 for the first$50,000.00 and$1.20 for (minimum charge-1/2 hour) each additional$100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Plan Review for Plumbing Installations t Quantity by Fixture Type Plan review is required for any of the following. Fixture.Type for Replace/ Please check all that apply. Work Performed: Capped Added Relocate ❑ Any new commercial building with water service 2"and BaptistryFont greater.except systems designed and stamped by licensed Bath: -Tub/Shower engineer. -Jacuzzi/Whirlpool Car Wash: -Each Stall 0 New exterior plumbing site utilities for any complex structure as defined in OAR918-780-0040. -Drive Thru Cuspidor/Water Aspirator 0 Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial 0 Any multipurpose fire sprinkler system. Domestic_ El Any complex structure as defined in OAR918-780-0040. Drinking Fountain Eyc Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" Isometric or Riser Diagram 0 isometric or riser diagram is required for new buildings -Car Wash Drain Garbage -Domestic non-food that meet the qualifications above. Disposal: -Domestic food related -Commercial food related -industrial food related Ice Mach./Refiig.Drains Comments regarding fixture work: Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang -Stall Sink: -Lav/Bar non-food related -Bradley -Com/Serv:Util food related -Service *Note: If the fixture work under this permit results in an Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and Washer-Clothes fees assessed for the sewer increase must be paid before the Water Extractor Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits'PLMF_PetmitApp.doc 08/04/2011 2